Active NPI
Eileen M Hart, M.D.
- Specialist
- San German, PR
National Provider Identifier
1114136298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- C Street E 10
Urb Santa Marta
San German, PR 00683-0000 - Phone
- (787) 264-7934
- Fax
- (787) 264-7929
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
C Street E 10
Urb Santa Marta
San German, PR 00683-0000
Mailing address
C Street E 10
Urb Santa Marta
San German, PR 00683-0000
Phone (787) 264-7934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080407000551 | PR | Practitioner - Nuclear Medicine | 3678650272 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital de la Concepcion Inc | Current | Accepting new patients | |
| Metro Mayaguez Inc | Current | Accepting new patients | |
| Hospital de la Concepcion Inc | Current | Accepting new patients |
Locations
15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- San German, PR
- NPI 1801429642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114136298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C STREET E 10",
"address_2": "URB SANTA MARTA",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830000",
"telephone_number": "787-264-7934",
"fax_number": "787-264-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C STREET E 10",
"address_2": "URB SANTA MARTA",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830000",
"telephone_number": "787-264-7934",
"fax_number": "787-264-7929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "EILEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.